Individual
MR. LEE MATHESON FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4439 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-3100
(757) 252-0590
Mailing address
4439 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-3100
(757) 252-0590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601817
VA
225200000X
Physical Therapy Assistant
6897
CA
Other
Enumeration date
05/15/2008
Last updated
03/29/2023
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